NPI | 1235254467 |
---|---|
Entity Type | Organization |
Authorized Contact | CARLETTA YALONDA BARNES-EKUNWE President 601-545-7055 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 3248-03) |
Enumeration Date | 2007-03-20 |
Last Update Date | 2009-12-03 |